Form Ct-8822c - Corporation Business Tax Change Of Address - Connecticut Department Of Revenue
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1
2Department of Revenue Services
State of Connecticut
Form CT-8822C
Operations Bureau/Registration
Hartford CT 06106-5032
Corporation Business Tax Change of Address
(Rev. 12/13)
– See Instructions on Reverse –
Purpose of Form:
Use Form CT-8822C to notify the Connecticut Department of Revenue Services (DRS) of a change in the physical location or mailing
address of the corporation. Check the appropriate box and enter below any change to the corporation’s physical location or mailing
address.
Connecticut Tax Registration Number
Check ALL boxes this change affects:
Change in Physical Location
Federal Employer Identification Number
Change in Mailing Address
Effective Date of Change:
/
/
Corporation Name
Old Physical Address (Number and Street )
City
State
ZIP
Old Mailing Address (Number and Street or PO Box)
City
State
ZIP
City
State
ZIP
New Physical Address (Number and Street)
New Mailing Address (Number and Street or PO Box)
City
State
ZIP
Daytime Telephone Number (optional)
Email (optional)
(
)
Corporate Officer’s Name (print)
Date
Signature
Title
Mail to:
DRS Operations Bureau/Registration
25 Sigourney St., Ste. 2
Hartford CT 06106-5032
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